Joseph H. McGlone, Inc.

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(856) 546-7300

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Home Quote

Joseph H. McGlone, Inc.

Insurance Analyst

Joseph H. McGlone respects your privacy and will not share any information with another party without your consent.

For your ONLINE HOME QUOTE in

NJ and PA

please fill out and submit the following form:

For your ONLINE AUTO QUOTE in

NJ and PA

please fill out and submit the following form:

Please fill out this form as complete as possible. If you are not sure of a response, leave it blank and we will contact you and help you obtain the information necessary for your quote.

Contact Us

Customer Information

Please choose:

Last name:

First name:

Address:

City, State, Zip:

E-mail address:

Home phone:

Work phone:

Property Information

Address:

Property type:

New Field:

Construction:

year built

Type of:

New Field:

If heated by oil:

If heated by oil:

Where is the tank located?

Total living area:

Total living area:

square feet

square feet (not required but helpful if available)

Total area of foundation:

Total area of foundation:

square feet

square feet (not required but helpful if available)

basement

Is there a basement?

if yes, is it finished?

crawl space?

Is there a crawl space?

Is house on a SLAB?

Last Updated:

Last Updated:

roof

plumbing

electric

heating

Number of:

Number of:

baths

fireplaces

stories

garages

Does it include:

Does it include:

include:

central air

fire ext.

pool

deck

sq. ft

porch:

enclosed porch

open porch

porch size (sq. ft.)

alarm:

fire alarm - central station

or local

burglar alarm - central station

or local

If new purchase:

If new purchase:

settlement date

purchase price

Current Insurance Information

Name of Company:

Expiration date:

Deductible:

Current amount of Insurance on dwelling:

Prior losses last 3 years:

Do you have any dogs? If yes, what breed?

Do you have a pool? If yes, in ground or above ground ?

Do you have a pool? If yes, in diving board and/or slide?

Do you have a flatroof? if yes, what %?

Do you have a trampoline?

Thank you for contacting us.
We will get back to you as soon as possible

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